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J Am Coll Cardiol, 2007; 50:69-76, doi:10.1016/j.jacc.2007.04.047 (Published online 5 June 2007).
© 2007 by the American College of Cardiology Foundation
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Percutaneous Aortic Valve Replacement for Severe Aortic Stenosis in High-Risk Patients Using the Second- and Current Third-Generation Self-Expanding CoreValve Prosthesis

Device Success and 30-Day Clinical Outcome

Eberhard Grube, MD, FACC*,1,*, Gerhard Schuler, MD, FACC{dagger}, Lutz Buellesfeld, MD*, Ulrich Gerckens, MD*, Axel Linke, MD{dagger}, Peter Wenaweser, MD*, Barthel Sauren, MD*, Friedrich-Wilhelm Mohr, MD{dagger}, Thomas Walther, MD{dagger}, Bernfried Zickmann, MD*, Stein Iversen, MD*, Thomas Felderhoff, MD*, Raymond Cartier, MD{ddagger} and Raoul Bonan, MD, FACC{ddagger},1

* HELIOS Heart Center Siegburg, Siegburg, Germany
{dagger} Heart Center Leipzig, Leipzig, Germany
{ddagger} Institut de Cardiologie de Montreal, Montreal, Canada.


Figure 1
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Figure 1 CoreValve Prosthesis

Third generation of the CoreValve prosthesis (18-F) before loading into the delivery catheter.

 

Figure 2
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Figure 2 Implantation of the CoreValve Prosthesis

(A) Prosthesis partially released (still possible to retrieve the valve); (B) prosthesis completely released.

 

Figure 3
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Figure 3 Hemodynamic Tracing Before and After CoreValve

Example of simultaneous left ventricular and aortic hemodynamic tracing at baseline and immediately after implantation of prosthesis.

 

Figure 4
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Figure 4 Mean Aortic Pressure Gradients

Mean gradient pre- versus postimplantation of prosthesis versus 30-day follow-up (for patients with procedural success). PVR = percutaneous valve replacement.

 




 
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